|
02UF0JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3432
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF0KJ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1418
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF0KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3433
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF37J
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1419
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF37Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3434
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF38J
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1420
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF38Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3435
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF3JJ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1421
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF3JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3436
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF3KJ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1422
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF3KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3437
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF47J
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1423
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF47Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3438
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF48J
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1424
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF48Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3439
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF4JJ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1425
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF4JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3440
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF4KJ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1426
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UF4KZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3441
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UG07E
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1427
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UG07Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3442
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UG08E
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1428
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UG08Z
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3443
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UG0JE
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
1429
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
|
02UG0JZ
|
Facility
|
IP
|
$10,777.00
|
|
| Hospital Charge Code |
3444
|
| Min. Negotiated Rate |
$10,777.00 |
| Max. Negotiated Rate |
$10,777.00 |
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$10,777.00
|
|
